Future of healthcare exchanges on the line

The Republican governors of Nebraska and Iowa are pinning their hopes on a Romney victory and have postponed exchange-related decisions until after the election. Gov. Dave Heineman said last year he doesn't want a federally run exchange in Nebraska, calling the prospect a federal takeover of the state's healthcare system. More recently, he questioned the value of a state-run exchange, saying: "The only thing we get to decide is who to tax and how much." Heineman has declined to indicate before the election what his decision may be. His administration, however, is preparing for the state to operate an exchange.